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Open fontanelles in an elderly man
  1. Rakul Nambiar1,
  2. Dalus Dae2,
  3. Jithesh Balan2,
  4. Anjali Srikumar3
  1. 1Department of Medical Oncology, Regional Cancer Centre, Thiruvananthapuram, Kerala, India
  2. 2Department of Internal Medicine, Government Medical College Hospital, Thiruvananthapuram, Kerala, India
  3. 3Department of Anesthesiology, Sree Gokulam Medical College and Research Foundation, Thiruvananthapuram, Kerala, India
  1. Correspondence to Dr Rakul Nambiar; rakulnambiar{at}

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Case description

A 70-year-old man was evaluated for sinusitis with skull radiograph which demonstrated open anterior fontanelle. Physical examination revealed broad forehead, open anterior fontanelle, multiple impacted teeth and sloping shoulders with an abnormal hypermobile shoulders (figure 1). Family history revealed similar dentition problems and ability to oppose shoulders in his father, brothers and daughter. …

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